Mechanism of Change in Cognitive Behavioral Therapy for Body Image and Self-Care on ART Adherence Among Sexual Minority Men Living with HIV

AIDS and Behavior
Kalina M LambAaron J Blashill

Abstract

Body image disturbance is a common problem reported among sexual minority men living with HIV, and is associated with poor antiretroviral therapy (ART) adherence. Recently, a novel integrated intervention (cognitive behavioral therapy for body image and self-care; CBT-BISC) was developed and pilot tested to simultaneously improve body image and ART adherence in this population. Although CBT-BISC has demonstrated preliminary efficacy in improving ART adherence, the mechanisms of change are unknown. Utilizing data from a two-armed randomized controlled trial (N = 44 sexual minority men living with HIV), comparing CBT-BISC to an enhanced treatment as usual (ETAU) condition, sequential process mediation via latent difference scores was assessed, with changes in body image disturbance entered as the mechanism between treatment condition and changes in ART adherence. Participants assigned to CBT-BISC reported statistically significant reductions in body image disturbance post-intervention, which subsequently predicted changes in ART adherence from post-intervention to long term follow-up (b = 20.01, SE = 9.11, t = 2.19, p = 0.028). One pathway in which CBT-BISC positively impacts ART adherence is through reductions in body image dist...Continue Reading

References

Oct 6, 1997·The Journal of Nervous and Mental Disease·K A Phillips, S F Diaz
May 16, 2001·Annals of Internal Medicine·H LiuN S Wenger
Dec 3, 2002·International Journal of Methods in Psychiatric Research·Jean-Yves LozeFrederic Rouillon
Mar 6, 2004·Eating Behaviors·Christine Yelland, Marika Tiggemann
Aug 24, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·S Bryn AustinAlison E Field
Mar 17, 2007·AIDS Care·A SharmaM P Webber
Apr 4, 2007·Psychological Methods·Scott E Maxwell, David A Cole
Aug 21, 2008·Archives of Sexual Behavior·Letitia Anne PeplauNegin Ghavami
Feb 13, 2009·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Steven A SafrenKenneth H Mayer
Apr 9, 2009·AIDS and Behavior·Christopher J GillMary Bachman Desilva
Apr 20, 2010·Trends in Molecular Medicine·Martine Caron-DebarleJacqueline Capeau
Sep 3, 2010·AIDS and Behavior·Jessica E HabererDavid R Bangsberg
Nov 17, 2010·Nature Reviews. Endocrinology·Christina G FiorenzaChristos S Mantzoros
Jul 1, 2014·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Aaron J BlashillSteven A Safren
Jan 20, 2015·Journal of the International AIDS Society·Julia L FinkelsteinSaurabh Mehta
Sep 30, 2011·Multivariate Behavioral Research·Scott E MaxwellMelissa A Mitchell
May 1, 2013·Multivariate Behavioral Research·Melissa A Mitchell, Scott E Maxwell
Jul 13, 2016·JAMA : the Journal of the American Medical Association·Huldrych F GünthardPaul A Volberding
Mar 23, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jordan E LakeKristine M Erlandson
May 26, 2017·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Aaron J BlashillKenneth H Mayer

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